I saw that there was a similar thread for 2011 that had plenty of useful info so I figured its best to start one for 2012. 👍
All the anatomy I had could be found in chungs BRS anatomy including the pelvic stuff.
Took it today... made a throwaway to save anonymity.
I was worried about timing, because I had some trouble with that on sets of Uworld / NBMEs, but didn't think it was particularly longer and had no issues with time. Yeah, an extra 5 minutes would always make me feel better, but I got through everything and had time to review. I'd say it pretty accurately matched NBME 12/13 (don't really remember what 11 was like) as far as difficultly / length / content.
Yeah there were some random factoids on there, but I'd say ~98% was covered in First Aid / UWorld / Gunner Training in some way, shape, or form. I think I could count on my two hands the questions where I was like "that wasn't in any review book, daf*ck is this asking?". The questions were pretty fair. Couldn't really peg any as "experimental".
Anatomy - brachial plexus questions. CT slices were very straight-forward. One random GU question that I'd never seen.
Behavioral - very much on the lines of Uworld. I went through BRS behavioral science (ie just did the questions at the end of each chapter and the test at end) - this was helpful.
Biochem - some lysosomal storage, some glycolysis etc. Again, nothing was a surprise or not seen in the majority of study sources. One vitamin was confusing - definitely missed one of these I think.
Cell Bio / Genetics - very concept heavy, so know the "why". Memorizing random facts won't help here. All the relevant concepts are in first aid. Questions very similar to uworld. Of course, it helped a lot that I've done a lot of cell bio / genetics research.
Immuno - straight from first aid / uworld. No surprises.
Embryo - didn't have much on the test. The few that were on there were 2nd or 3rd step questions, so knowing the big picture is important. Had a random GI one that was kind of WTF-age.
Pharm - very much all out of first aid / uworld / gunner training. Did not see a single drug that wasn't in first aid AND gunner training. I went through Lange pharmacology. This was good to learn physiology, but I would not use it to learn random drugs because they don't show up.
Don't need to know details, just know the mechanism and major side effect of most drugs. Know the (para)sympatholytic/mimetics well.
Micro - not much micro. The micro that was there was all buzzwords. Gunner training did well here.
Cardio - decent amount of cardio. Moderately difficult (a bit easier than Uworld difficulty). 2 heart sound questions - neither one required listening. A couple of ECGs scared the beejesuses out of me, but then when I read the question it was clear what the presentation was and the ECG just confirmed the case description.
Resp - struggled with this when qbanking. Nowhere near as hard as uworld. Even easier than NBMEs. The Chest X-rays were waaaaaay obvious.
Endocrine - some up/down but nothing crazy, all of it was very logical. They may have had a random variable as a column. I went and started eliminating based on patterns that are taught/covered in the study sources I was able to narrow everything down to just one choice pretty quickly.
Repro - A lot of repro. All of it was in Uworld / First Aid / Gunner Training. No WTFs. There were intricacies and details tested, but its all in the aforementioned sources.
Neuro - probably the hardest section for me because I'm personally weak in this. My neuro course was incompetent when it came to clinical concepts (eg... never heard of craniopharyngioma until I studied boards). I'd say it was comparable to Uworld questions. Very clinical / being able to diagnose and discern the different pathologies etc. I struggled on a couple and likely missed more than my fair share, but I'm certain they were all in Uworld / First Aid.
GI - was on there - can't remember what they asked, so I think it was straight forward. Nothing comes to mind as especially challenging / awkward.
Heme - a lot of pictures. Very straight forward. I've never seen so many auer rods in a picture. ever.
Psych - not much. These were off the beaten path, and more of the obscure ones mentioned in first aid / gunner training. The level of knowledge required was not deep though, just being able to identify the disease label was sufficient.... no treatment / no management.
Renal - Buzz. Words. All day, everyday. More buzz than a beehive.
Compared to what other people posted, I was expecting a harder test with more random WTF questions and details. I'd say people around here exaggerate those. I also expected really longer question stems and time to be a serious challenge - it wasn't.
TL;DR - most everything is in first aid / uworld / gunner training. The why is way more important than the specific details. Very much like NBME 12/13.
So has anyone been getting their scores today or last Wednesday? I know the website says July 11th... but it also says MOST examinees will have a delay, not all. So I'm wondering if some people are still getting scores. I took the test early June, so I was hoping to get it this week or next.. but if its July 11, whatever, what can I do.
just got an email from our dean. some scores came out yesterday. the rest will come out the 11th. None will be coming out the 4th
just got an email from our dean. some scores came out yesterday. the rest will come out the 11th. None will be coming out the 4th
so the dean sees our score before we do?
I would recommend FA, UW, NBMEs, and Goljan, probably in that order. Everything on my test that came from OUTSIDE these sources I never would have come across anyway had I added 15 more sources. I can't comment on DIT, since I didn't take it. Maybe they know a few "secrets" like they claim, but not likely.
I'm only a little worried that I got a random grab-bag of a seemingly-high proportion of non-FA questions. I worry that my score goes on the same curve as those who got different forms and come on here and say that 98% of their test came from FA. Anyone know how that grading mechanism works?
just got an email from our dean. some scores came out yesterday. the rest will come out the 11th. None will be coming out the 4th
Everything on my test that came from OUTSIDE these sources I never would have come across anyway had I added 15 more sources.
I'm only a little worried that I got a random grab-bag of a seemingly-high proportion of non-FA questions. I worry that my score goes on the same curve as those who got different forms and come on here and say that 98% of their test came from FA. Anyone know how that grading mechanism works?
For what dates did scores come out yesterday? (general estimate) I am asking on behalf of a friend who took it in early June.
I know us late June dates have to wait until the 11th.
no idea but if hers were released she'd have gotten an email about how to access them.
Finished my exam yesterday. Should've posted right after while it was fresh, but I had multiple glasses of whiskey and then went to a steak house so get off my back about it already! If it makes you feel better, I'm probably going to need a bottle of allopurinol after that night.
Prep
-GT: Started this summer of MS1.Can't say enough good things about it. It's time consuming but it helped me in classes and I came into my dedicated step 1 period without having to relearn anything and I automatically jumped to qbanks.
-FA: Started annotating in MS1. I followed the book along with class and if I saw a picture in my notes I liked, I'd throw it into FA. All my books and notes are electronic, so screen shotting into one-note on a tablet pc was super easy. Attached below is a sample of how I would annotate a FA chapter.
-Pathoma: One day MS1-2 will just be online videos taught by the best like Dr. Sattar. Still infuriates me that I pay $18k/sem to learn this from my school when he only charges me $89 and teaches it better.
-Goljan Audio: Good for treadmills and drives to school.
-UW: Amazing resource. If I could do it again, I would've done UW through the year and then try to do it twice during study period (not so much working through questions as just reading the amazing explanations).
-NBMEs: Took the basic ones.
Stats
UW: 100% completed, 81% avg (low 69%, high 91%), only one pass 🙁
GT: 100% completed, 95% mastered 😀
NBME 7: 252
NBME 11: 242
NBME 12: 250
NBME 13: 255
The test
Poring rain, got a parking ticked for parking in a professors space (didn't want to walk across campus to testing center in the rain and be uncomfortable all day). Worth it. No problems checking in, they allowed me to have my favorite headphones and had no problems throughout the day. Went to bathroom after every block to make sure my bladder was always near empty. Used all break time to eat, recharge, and pop 100mg caffeine pill when I needed it.
-Micro: GT and UW covered things well. Had a couple problems with specific mechanisms of macroclides, aminoglycosides, etc (what specific step of protein formation do they block, aka initiation, translocation, etc.).
-Biochem: Lysomal storage, galactose/fructose metabolism, lot of newborns with diarrhea or big spleens. One patient was even reported to be restrained for chewing his lips, fingers and genitals or whatever off.
-Genetics: My worst subject. Felt good on the pedigrees (had >4) and I actually got the hardy wineberg crap right. They had a lot of experiments with mice and genes that I flat out had no clue. Whenever a question started out "A little, homely Asian researcher in the hospital basement is studying expression on the 9XHDNE$SA2 gene..." my heart sunk a little bit.
-Pharm: Had some drugs I didn't know, but I think I got via elimination. Not a good feeling picking a drug you don't know. Lot of MOA and SE like everyone says. Lot of farmers, fat people, and patients with a sore first metatarsal joint.
-Immuno: These guys sure love organ rejection and TB.
-Anatomy/Embryo: Didn't feel as good about most of these. I didn't memorize all the ligaments in the foot or the pelvic floor well enough. I do however enjoy a good Meckel's Diverticulum question.
-Behavior: Just know that stupid 2x2 table inside and out and everything you can possibly do with it. Lot of study design stuff. Felt like there was tons of ethical/what would you do questions. I just made sure not to refer the patient and told them I couldn't sleep with them even though I wanted to sometimes.
-Psych: They like to do stuff where they put oppositional defiant disorder, conduct disorder, and antisocial personality disorder and you have to know the minor little differences to pick out the dx. Most weren't too bad.
-Path: Felt like I had a lot of questions where I narrowed down to 2 and couldn't finalize the dx. This didn't feel good. Pretty even distribution across subjects, but felt like hemat/onc was light and endo/renal were heavier. 2 media questions about the heart. 1 said the patient had a dental appt 1 wk prior and I laughed loud enough that the guy next to me moved in his little cube.
-Physio: Didn't feel great about some of the arrow problems and graphs. You could get 4/5 arrows right, but still have 2 choices left. Wish I had more time to do renal/cardio/pulm in the guyton/hall physio practice book that I used during MS1.
Difficultly was between UW and NBME, but closer to UW. I felt great coming out of the NBME's, but felt lousy walking out of this test. Really doubting my 250 goal. I think the length got to me and the questions didn't have as clear cut answers as the NBMEs. I always finished with 10-15min extra time during practice, but would only have ~5min on the real deal. Questions were longer to read through and they definitely add a lot of extra unneeded info. There's definitely a good 5-10% of the test that you can't prepare for by using classic review sources. I don't know how to overcome this other than just killing it MS1-2 and reading journals on the toilet.
Anyways, glad to be done. I'll try to write more on my prep if it turns out to have worked, but I'm too unsure right now. Hit me up if there's anything I can do to help give back for all the help I received from these forums. Lot of good people on this board and I hope I don't get banned for not meeting the SDN cutoff (<250).
Oh good point. I forget we get an email when we can access.
So why do some people say they are constantly checking the website? When they could just wait to get the email notification...
I wish I could've gone through UW another entire time. Kaplan during the year might have helped too, but GT, class, and life took up too much time. Can never have too many questions.Lol. Nice to have read a funnier post here.
Is there anything you would have done differently regarding your prep if you could go back in time?
Do you recommend the caffeine pill?
Renal - nothing hard here, except for a weird multi-system integration one about a random transporter.
morte7 said:Renal - nothing hard here, except for a weird multi-system integration one about a random transporter.
autosomal dominant polycystic kidney disease?
liver cysts, splenic cysts, mitral prolapse and diverticula plus maybe berry aneurysms?
I would actually think Pendrin would be the high-yield "obscure" transporter that would be multi-system. It's found in the kidney as well as in the thyroid gland and cochlea, and is necessary for halide (i.e. chloride, iodide) transport. I had read somewhere a while ago that mutations in Pendrin cause Pendred syndrome, which is one of the most common genetic causes of hearing loss; if the pt is hypothyroid and deaf, then the Dx is a clincher. Any SLC#A# mutations should ring a bell regarding the kidneys.
You're ahead of where I was post MS1. Keep it up 😀you people make me so sad![]()
Congrats! Have fun!NOW I CAN FINALLY RELAX.
I seriously think that phloston will get the highest score in the history of the usmle. Greater than a 270 for sure!!
I seriously think that phloston will get the highest score in the history of the usmle. Greater than a 270 for sure!!
I think its possible for people like him who will study 5,343 months for step 1.
Others will do it in a fraction of that time period and will score in the same upper-range bracket.
I think its possible for people like him who will study 5,343 months for step 1.
Others will do it in a fraction of that time period and will score in the same upper-range bracket.
I'm sure he'll do quite well, but he seems kind of inflexible based on this posts. You don't get a high score on this test because you've invested (or wasted) time learning about low yield things like pendrin. I bet he gets a low-mid 260.I seriously think that phloston will get the highest score in the history of the usmle. Greater than a 270 for sure!!
I'm sure he'll do quite well, but he seems kind of inflexible based on this posts. You don't get a high score on this test because you've invested (or wasted) time learning about low yield things like pendrin. I bet he gets a low-mid 260.
How can you say that when you hadn't hit additional resources? What about the questions makes you say that?
Also, regarding your neuro, were the regions they were asking about obscure, or were they merely only to be found via QBanks...?
I've guessed that since the question allocation is random, the curve you get is also custom to your particular test. It comes down to two things: despite the randomness of topics assessed, if the proportion of easy, medium, difficult and wtf questions remains constant with every test, then your curve will be similar to other people's; if the proportion changes alongside the topic-randomness, then your curve will in fact be unique, based on increasing #s of easy or hard questions, etc. My guess would be that the proportion and curve remain somewhat consistent between people. If you got hard questions not in FA, then other people did too; it's just a toss-up as to whether these were topics you happen to have covered/knew/seen before.
There is absolutely nothing wrong with studying 5,343 months for step 1. If thats what an individual needs to do then hey thats what he/she has to do. Just saying!
Well, there kind of is. This is one of the very few "standardized" and objective assessment of our abilities that there is. When people spend a year studying for this exam then it isn't really so standardized, is it? You're (and I'm not referring to you Redsoxsuck) playing the system at the expense of others. How unconfident in your abilities can you possibly be to put that kind of energy and time into this test? If you need that much time to get the score your want on step 1 what makes you think you are qualified for whichever residency it is that you want? I appreciate reading about the exam experiences of others on here but it is pretty weird to see the same ~2 people commenting on practically every post.
Yeah but you have to look at it from a fmg point of view also...they haven't seen basic sciences for a good 3-4 years when they graduate from medical school....add to that they have to get acclimatized to the system over here too....of course they aren't gonna pick up the nuances of the american medical system in just a few months so it takes a little bit of time....amgs tests throughout medical school are geared towards usmle from the start whilst fmgs tests are more writing with little to no mcqs.
You're saying FMG's take step 1 after 4 years of medical school,.. that means they have even more time to study basic sciences before their step (vs the <2 years for AMGs)...
They are no nuances in the school system in the U.S.. It's simple; you essentially teach yourself, whether you live in cambodia or go to Harvard, so don't make excuses. And no, the exams in the U.S. are not geared to the step. They are very detailed and picky, testing over a large depth of information.
And Finally, no one forced you to go to FMG school system. Everyone has a choice in what they do. But in general, making excuses like that doesn't really prove anything nor justifies why the system should be tweaked for one's own purposes because you ruin the integrity of that particular system.
Yeah that makes sense...let's study basic sciences instead of doing third and fourth year properly and going to clinical rotations which start actually in 2nd year.
Lol @ you getting butthurt, who made excuses? I'm calling a spade a spade. I agree nobody forced us to go overseas but some people had to For reasons specific to them.
Then why are you whining like a b.itch. Man up, loser. And Lol at you coming on here making excuses and pleading yourself to validation, then saying you're not making excuses. ******.
Then why are you whining like a b.itch. Man up, loser. And Lol at you coming on here making excuses and pleading yourself to validation, then saying you're not making excuses. ******.
Then why are you whining like a b.itch. Man up, loser. And Lol at you coming on here making excuses and pleading yourself to validation, then saying you're not making excuses. ******.
I think its possible for people like him who will study 5,343 months for step 1.
Others will do it in a fraction of that time period and will score in the same upper-range bracket.
Hey Alvarez13, when you were annotating your FA electronically during MS1, did you switch over to the latest 2012 edition when that came out or did you stick with the 2011 edition? It would be a lot of work to re-do all your notes when when the updated edition came out.
I don't really know where you gather your information from. You and iCY should grab a mocha-java or something. I'm sure you guys would make great penpals. EaglesAllday got it right. Our MS1/2 curriculum carries a written-exam-based 2CK material-focus, rather than one catered to much of the MCQ basic science stuff. However, once again, I hadn't seen FA until just this February nor had I thought about ever sitting the USMLE until I was almost through my second semester of MS2. So if I can do the math correctly, given that you were geared toward this exam since the beginning of MS1, you actually will have prepared longer overall by the time we both sit the Step. I've read posts about people having read FA during MS1/2 or having gone through Kaplan QBank / UWorld during MS2, etc. So if you think I'm at an advantage in any way then you are simply imagining based on your own internal struggles, which is normal since projection is an SDN-common defense mechanism.
I don't really know where you gather your information from. You and iCY should grab a mocha-java or something. I'm sure you guys would make great penpals. EaglesAllday got it right. Our MS1/2 curriculum carries a written-exam-based 2CK material-focus, rather than one catered to much of the MCQ basic science stuff. However, once again, I hadn't seen FA until just this February nor had I thought about ever sitting the USMLE until I was almost through my second semester of MS2. So if I can do the math correctly, given that you were geared toward this exam since the beginning of MS1, you actually will have prepared longer overall by the time we both sit the Step. I've read posts about people having read FA during MS1/2 or having gone through Kaplan QBank / UWorld during MS2, etc. So if you think I'm at an advantage in any way then you are simply imagining based on your own internal struggles, which is normal since projection is an SDN-common defense mechanism.
I'm sure he'll do quite well, but he seems kind of inflexible based on this posts. You don't get a high score on this test because you've invested (or wasted) time learning about low yield things like pendrin. I bet he gets a low-mid 260.